Kibrik Pavel, Zhu Jerry, Rao Ajit, Han Daniel, Faries Peter, Cornwall James
Division of Vascular Surgery, Department of Surgery, The Mount Sinai Medical Center, New York, NY.
J Vasc Surg Cases Innov Tech. 2024 Oct 23;11(1):101650. doi: 10.1016/j.jvscit.2024.101650. eCollection 2025 Feb.
Inferior pancreaticoduodenal artery aneurysm (IPDA) with the stenosis of the celiac axis is rare and may cause rupture. A unique etiology of IPDAs with celiac stenosis is median arcuate ligament syndrome. These aneurysms develop as a result of the dilation of the arteries from the retrograde blood flow into the pancreaticoduodenal arches because of celiac artery compression by the median arcuate ligament. We describe a 39-year-old man whose ruptured IPDA was associated with celiac artery stenosis and who was managed with coil embolization. The patient has agreed to have their case details and images published.
伴有腹腔干狭窄的胰十二指肠下动脉瘤（IPDA）罕见且可能导致破裂。伴有腹腔干狭窄的IPDA的一种独特病因是正中弓状韧带综合征。这些动脉瘤是由于正中弓状韧带对腹腔干的压迫，导致逆行血流进入胰十二指肠弓，使动脉扩张而形成的。我们描述了一名39岁男性，其破裂的IPDA与腹腔干狭窄相关，并接受了弹簧圈栓塞治疗。患者已同意公布其病例细节和图像。
